Apply today to work in one of our beautiful locations! Please allow 20-30 minutes to fill out this application.

Personal

Name *

Name

First Name

Last Name

Email

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home

Home

(###)

###

####

Cell *

Cell

(###)

###

####

Do you have the legal right to remain and work in the United States?

Yes

No

What prompted you to work here? (Check all that applies)

I'm a customer

Friend/Relative

Employee Referral

Live in Neighborhood

Person to be notified in case of emergency

Person to be notified in case of emergency

First Name

Last Name

Home

Home

(###)

###

####

Cell

Cell

(###)

###

####

Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

AVAILABILTY

What store do you want to work at?

Sunday Availability

Monday Availability

Tuesday Availability

Wednesday Availability

Thursday Availability

Friday Availability

Saturday Availability

Type of schedule desired

Part Time

Full Time

Number of hours per week

How much are you willing to work for?

$

How soon after accepting an offer would you be able to start working?

While working here, do you plan to

Work somewhere else

Attend school

Can you commit to at least 6 months of working here?

Yes

No

If no, reason:

Do you see your availability changing in the next 3 months?

6 months?

1 year?

EDUCATION

High School (name and location)

Dates Attended (from, to)

Highest Year Completed

9

10

11

12

Major and Minor Fields of Study

Diploma?

Yes

No

College/Technical/Vocational School (name and location)

Dates Attended (from, to)

Highest Year Completed

1

2

3

4

Major and Minor Fields of Study

Degree?

Yes

No

List any student group or organization(s) you belong to:

WORK EXPERIENCE

Employer (most recent)

Phone

Phone

(###)

###

####

From

To

Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Position

Responsibilities

Supervisor's Name

Starting Salary/Wages

Final Salary/Wages

Reason for Leaving

Employer #2

Phone

Phone

(###)

###

####

From

To

Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Position

Responsibilities

Supervisor's Name

GETTING TO KNOW YOU

Describe yourself

Why do you want to work at Sencha Tea Bar?

List 3 qualities you possess and why they would make you a good barista

Describe one accomplishment (not necessarily work-related) that you are proud of:

Briefly describe your short term goals (next 1-2 years)

Briefly describe your long term goals (2+ years):

What do you do when you are not working? List some of your main hobbies and interests:

Identity & LEGAL

Under the guidelines of federal law, if hired, you are required to firnish documentation to show proof of identity and legal authorization to work in the United States. If hired, before you can start work you will need to submit a copy of your social security card* (authorization to work) and a copy of one of the following documents verifying proof of identity:

Drivers license or state issued ID card

School ID card with photo

ID card issued by Federal, State or local government containing a photo

Please confirm that all information above is accurate and that, if hired, the first month will be a trial period, after which time, Management can decide not to retain the person due to reason of incompatibility, without any legal recourse to Sencha Tea Bar. A 4 hour training and orientation session is required and is non-payable. You will be required to sign a confidentiality and non-disclosure agreement.